Provider Demographics
NPI:1962875716
Name:AFFINITY PALLIATIVE AND HOSPICE CARE LLC
Entity type:Organization
Organization Name:AFFINITY PALLIATIVE AND HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMANO
Authorized Official - Middle Name:ALVAREZ
Authorized Official - Last Name:SPRUEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-567-6782
Mailing Address - Street 1:5223 HOMER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-6623
Mailing Address - Country:US
Mailing Address - Phone:972-567-6782
Mailing Address - Fax:
Practice Address - Street 1:5223 HOMER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-6623
Practice Address - Country:US
Practice Address - Phone:972-567-6782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based